Chinese American Service League, Inc.

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

CHINESE AMERICAN SERVICE LEAGUE, INC.

Practice address

2141 S Tan CT
Chicago, IL 60616-1998

Phone

(312) 808-0280

NPI assigned

Nov 29, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jered G Pruitt

Title

Coo

Phone

(312) 328-6606

Specialties & licenses 10

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Chinese American Service League, Inc.

  • Homemaker
  • Chicago, IL
  • NPI 1902161490

  O20210317001952

  Same enrollment

Interoperability endpoints

• FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/10954842

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Chunping Huang, NP

  • Family Nurse Practitioner
  • Chicago, IL
  • NPI 1558135004
  NPD
• Winnie Lam

  • Clinical Social Worker
  • Chicago, IL
  • NPI 1790431153
  NPD
• Adriana Padilla, LCSW

  • Clinical Social Worker
  • Chicago, IL
  • NPI 1730937731
  NPD
• Jinxiao Tan, LCSW

  • Clinical Social Worker
  • Chicago, IL
  • NPI 1417770132
  NPD
• Jeannie Tsui, MOT, OTR/L

  • Occupational Therapist
  • Chicago, IL
  • NPI 1578937991
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1669680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780272000000",
    "number": "1649980947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2141 S TAN CT",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606161998",
            "telephone_number": "312-808-0280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2141 S TAN CT",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606161998",
            "telephone_number": "312-808-0280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHINESE AMERICAN SERVICE LEAGUE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-29",
        "last_updated": "2026-06-01",
        "certification_date": "2026-06-01",
        "status": "A",
        "authorized_official_last_name": "PRUITT",
        "authorized_official_first_name": "JERED",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "312-328-6606"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapy Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chinatown Integrated Medicine LTD
• Chinatown Physical Medicine & Rehab LTD
• Ammie Lucero Chinchilla
• Raka Chindavong
• Chindika Healthcare Inc.
• Chinese American Service League, Inc.
• Chinese Mutual Aid Association
• Wilson Ching, M.D.
• Petrina Chino, D.P.M.
• Deepti Rekha Chinta, MD

• Adult Mental Health Clinic/Center in Chicago, IL
• Providers in Chicago, IL by specialty
• Adult Mental Health Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.